From the Department of Internal Medicine (Drs Zeichner, Cepeda, and Hodzic) and the Department of Radiology (Dr Francavilla) at the Mount Sinai Medical Center in Miami Beach, Florida, and the Broward Health Medical Center in Fort Lauderdale, Florida (Dr Shukla). Dr Shukla was a student at the Lake Erie College of Osteopathic Medicine-Bradenton in Florida at the time of this case